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Licensing details for: 16311

Name: KIDS CARE DENTAL STOCKTON - DENTAL PRACTICE OF REEVES, D.D.S., AND LAVALLEY, D.D.S., A DENTAL CORPORATION

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Previous Names: KIDS CARE DENTAL STOCKTON - DENTAL PRACTICE OF REEVES, D.D.S. AND LAVALLEY, D.D.S., A DENTAL CORPORATION REEVES, D.D.S., AND LAVALLEY, D.D.S., A DENTAL CORPORATION

Address of Record

3499 BROOKSIDE RD STE F
STOCKTON CA 95219
SAN JOAQUIN county
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Practice Location

3499 BROOKSIDE RD STE F
STOCKTON CA 95219
SAN JOAQUIN county
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Issuance Date

February 16, 2021

Expiration Date

July 31, 2026

Current Date / Time

June 6, 2025
1:59:35 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: REEVES, AARON PAUL

Address Not Disclosed

FNP to DDS or OMS

License/Registration Role: Fictitious Name Permit

Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit

Name: REEVES, AARON PAUL

License/Registration Type: Dentist License

License Number: 47785 Primary Status: Current - Active

Address :
2277 Fair Oaks Blvd
Ste 330
SACRAMENTO CA 95825
SACRAMENTO COUNTY

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